| NPI | 1306553789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007891RX) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH APP-000646319) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-03-29 |